How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $91.20 Median $100.00 Typical High $457.09 | Facility | None | $91.20 | $100.00 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $91.20 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $61.66 | Professional | 26 · Professional part | $56.23 | $58.88 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $34.67 | $40.74 | $40.74 |
BCBS Illinois Setting Facility Modifier None Typical Low $302.00 Median $426.58 Typical High $933.25 | Facility | None | $302.00 | $426.58 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $125.89 Typical High $398.11 | Facility | None | $89.13 | $125.89 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $109.65 | $151.36 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $141.25 | Professional | 26 · Professional part | $67.61 | $89.13 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $61.66 Typical High $87.10 | Professional | TC · Technical part | $41.69 | $61.66 | $87.10 |
Hally Health Setting Professional Modifier None Typical Low $234.42 Median $371.54 Typical High $660.69 | Professional | None | $234.42 | $371.54 | $660.69 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $100.00 Typical High $208.93 | Professional | 26 · Professional part | $64.57 | $100.00 | $208.93 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $269.15 Typical High $467.74 | Professional | TC · Technical part | $165.96 | $269.15 | $467.74 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $295.12 Typical High $346.74 | Professional | None (both parts) | $263.03 | $295.12 | $346.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $630.96 | Facility | None | $549.54 | $549.54 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $316.23 Typical High $446.68 | Professional | None (both parts) | $151.36 | $316.23 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $123.03 | Professional | 26 · Professional part | $67.61 | $100.00 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $218.78 Typical High $338.84 | Professional | TC · Technical part | $58.88 | $218.78 | $338.84 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $45.71 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $18.20 | $19.95 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $79.43 Typical High $79.43 | Professional | FX · Film X-ray | $72.44 | $79.43 | $79.43 |
Where Illinois sits
The same service costs 4.7 times more in Nebraska than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Illinois· 9th of 51
$240
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.